Individual
MARCUS E MEEKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 W FOREST AVE, JACKSON, TN 38301-3942
(731) 668-1853
(731) 664-7731
Mailing address
810 W FOREST AVE, JACKSON, TN 38301-3942
(731) 668-1853
(731) 664-7731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10978
NV
207L00000X
Anesthesiology Physician
Primary
A98953
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
43477
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A989530
—
CA
05
—
100505801
—
NV
Enumeration date
12/21/2005
Last updated
07/07/2008
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